I came across this great hearing aid resource online called, Sample Letters of Justification, from The Listen-Up Web. It contains several sample letters you can use to write to your insurance companies to convince them to help cover the costs of hearing aids; if not all, then part of the costs at least.
Apparently, some people have been able to convince their insurance companies to cover the costs of their hearing aids.
According to this website, Widget Richards was successful. The advice she gave:
1. Look at your Health Plan and see if they cover Home Medical Equipment, Prosthesis, or Orthopedic, etc...
2. Write a letter when submitting bill for hearing aids.
3. Appeal, Appeal, Appeal, if you get turned down.
Excerpt of one letter:
As a member of the _________ Health Plan, I am expressing concern about my Health Policy and why the Health Plan does not cover my medical condition. I was recently turned down by __________ (name of insurance company) for an Artificial Ear called a Hearing Aid. Consider this letter as a formal Appeal.
In the_________ Health Plan on page __ #__. Audiometry examinations for hearing aids, or hearing aids are NOT COVERED under the Health Plan but on page __#__ , Home Medical Equipment, Prosthesis, Orthosis are COVERED under the Health Plan.
Hearing Aids are considered as Home Medical Equipment, Prosthesis or a Orthosis by the definitions in the ________Health Plan manual. The Hearing device is a Home Medical Equipment because it is used repeatedly which is Medically Necessary to improve the functioning of a malformed body member and is used to prevent further deterioration of the patient's medical condition. A Hearing aid is a Prosthesis because it is a artificial part, appliance or device used to replace a missing part of the body. A hearing aid is an Orthopedic appliance or apparatus used to support, align, and prevent or correct deformities or to improve the function of movable body parts. Hearing Aids will NEVER restore that body member to 100% normal functioning, a hearing aid only improves the functioning and helps prevent further deterioration of other medical conditions. An artificial Arm will never give that person 100% movement, it only improves the functioning. Leg Braces for a malformed leg are used only to support, align, prevent or correct deformities or improve the function of movable body part. . .Read more.
To look at the sample letters this site provides, click on this link:
http://www.listen-up.org/haid/haidfund2.htm
Is there anyone who had any luck getting their insurance companies to cover their hearing aids or cochlear implant devices? Anyone still trying but with no luck?
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Apparently, some people have been able to convince their insurance companies to cover the costs of their hearing aids.
According to this website, Widget Richards was successful. The advice she gave:
1. Look at your Health Plan and see if they cover Home Medical Equipment, Prosthesis, or Orthopedic, etc...
2. Write a letter when submitting bill for hearing aids.
3. Appeal, Appeal, Appeal, if you get turned down.
Excerpt of one letter:
As a member of the _________ Health Plan, I am expressing concern about my Health Policy and why the Health Plan does not cover my medical condition. I was recently turned down by __________ (name of insurance company) for an Artificial Ear called a Hearing Aid. Consider this letter as a formal Appeal.
In the_________ Health Plan on page __ #__. Audiometry examinations for hearing aids, or hearing aids are NOT COVERED under the Health Plan but on page __#__ , Home Medical Equipment, Prosthesis, Orthosis are COVERED under the Health Plan.
Hearing Aids are considered as Home Medical Equipment, Prosthesis or a Orthosis by the definitions in the ________Health Plan manual. The Hearing device is a Home Medical Equipment because it is used repeatedly which is Medically Necessary to improve the functioning of a malformed body member and is used to prevent further deterioration of the patient's medical condition. A Hearing aid is a Prosthesis because it is a artificial part, appliance or device used to replace a missing part of the body. A hearing aid is an Orthopedic appliance or apparatus used to support, align, and prevent or correct deformities or to improve the function of movable body parts. Hearing Aids will NEVER restore that body member to 100% normal functioning, a hearing aid only improves the functioning and helps prevent further deterioration of other medical conditions. An artificial Arm will never give that person 100% movement, it only improves the functioning. Leg Braces for a malformed leg are used only to support, align, prevent or correct deformities or improve the function of movable body part. . .Read more.
To look at the sample letters this site provides, click on this link:
http://www.listen-up.org/haid/haidfund2.htm
Is there anyone who had any luck getting their insurance companies to cover their hearing aids or cochlear implant devices? Anyone still trying but with no luck?
(e
Because hearing aids are specifically and by name excluded they will not be covered. Tried similar tactics and they did not work for me. Good luck and best wishes to anyone else who has the endurance to try again.
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ReplyDeleteSome health insurance plans offer coverage for auditory care right out of the box. As long as you always remember to shop around before buying insurance, you shouldn't have trouble finding the best one.
ReplyDeleteYes, but some insurance plans only offer check-ups and medicine, but not the hearing aid itself.
ReplyDeleteI think it happens in most cases. A lot of health insurance companies do not cover hearing aids and other treatments caused by disability. The government should probably do something about that issue.
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Our insurance company covers hearing aids. But you will be required submitted recommendations from your doctor plus other justifications. In short, they will make it hard for you.
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Check for the policies implemented. This allows you to choose the right coverage.
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